Individual
LIANE A HENNESSEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 RETREAT AVENUE, DONNELLY BUILDING INSTITUTE OF LIVING, HARTFORD, CT 06106
(860) 524-7224
(860) 524-7482
Mailing address
PO BOX 1086, HARTFORD MEDICAL GROUP, WILBRAHAM, MA 01095-1086
(508) 595-0531
(508) 829-5367
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
000147
CT
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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